| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $793.98 | $793.98 | $793.98 | |
Aetna
| Professional | $761.82 | $793.98 | $1,404.69 | |
BCBS
| Professional | $850.00 | $1,071.63 | $1,701.89 | |
Cigna
| Facility | $110.92 | $1,025.33 | $1,132.05 | |
Cigna
| Professional | $748.49 | $964.69 | $1,025.33 | |
Medcost
| Facility | $713.86 | $1,150.00 | $2,519.37 | |
Medcost
| Professional | $897.00 | $897.00 | $897.00 | |
Molina
| Professional | $1,084.00 | $1,084.00 | $1,084.00 | |
United
| Professional | $602.17 | $793.18 | $1,015.43 |